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NPI Code Detail

MEDICARE: SYDNEY'S SCHOOL

MEDICARE: SYDNEY'S SCHOOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist1-06-2883FL

General Provider Information

NPI Number : 1114105921
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYDNEY'S SCHOOL
Provider Business Mailing Address
First Line : 4518 S MANHATTAN AVE
Second Line :
City : TAMPA
State : FL
Zip : 33611-2306
Country : US
Telephone Number : 813-835-4591
Fax Number :
Provider Business Practice Location Address
First Line : 4518 S MANHATTAN AVE
Second Line :
City : TAMPA
State : FL
Zip : 33611-2306
Country : US
Telephone Number : 813-835-4591
Fax Number :
Authorized Official
Title or Position : BEHAVIOR ANALYST
Name : JENNIFER RAVA
Credential : BCBA
Telephone Number : 813-835-4591
Provider Enumeration Date : 02/04/2008
Last Update Date : 02/04/2008

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Directions to “SYDNEY'S SCHOOL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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